Individual provider Active NPI

Charles Swingle, ATC, DPT

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1306408844
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019542 Issued in MI
Practice address
20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone
(734) 953-1745
Fax
(734) 953-1743
NPI assigned
Jul 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34775 FL
Physical Therapist 225100000X 5501019542 MI Primary

Addresses

Primary practice location

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027

Mailing address

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone (734) 953-1745

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cswingle@therecoveryproject.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019001474 MI Practitioner - Physical Therapist in Private Practice 1052731726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Recovery Project, LLCGroup PAC ID 9739154311, 33 clinicians

Practice addresses (Care Compare)

11878 Hubbard St
Livonia, MI 48150-1733
Phone (734) 953-1745

15500 19 Mile Rd
Suite 330
Clinton TWP, MI 48038-6313
Phone (586) 412-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34775FLMDPhysical Therapist
5501019542MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Recovery Project, LLC Physical Therapist CurrentSince Jul 14, 2020 Accepting new patients
Fare to Freedom PastSince Sep 13, 2020 Accepting new patients

Locations

11878 Hubbard St
Livonia, MI 48150
Phone (734) 953-1745

11878 Hubbard St
Ste 100
Livonia, MI 48150
Phone (734) 743-2909

20000 Victor Pkwy
Ste 100
Livonia, MI 48152
Phone (734) 743-2909

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1306408844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-953-1745",
            "fax_number": "734-953-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-953-1745",
            "fax_number": "734-953-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGLE",
        "first_name": "CHARLES",
        "credential": "ATC, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34775",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cswingle@therecoveryproject.net",
            "affiliation": "N",
            "address_1": "20000 Victor Pkwy Ste 100",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481527027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.